A Novel Pacing Strategy With Low and Stable Output: Pacing the Left Bundle Branch Immediately Beyond the Conduction Block

被引：562

作者：

Huang, Weijian ^{[1
]}

Su, Lan ^{[1
]}

Wu, Shengjie ^{[1
]}

Xu, Lei ^{[1
]}

Xiao, Fangyi ^{[1
]}

Zhou, Xiaohong ^{[2
]}

Ellenbogen, Kenneth A. ^{[3
]}

机构：

[1] Wenzhou Med Univ, Affiliated Hosp 1, Dept Cardiol, Key Lab Cardiovasc Dis Wenzhou, Wenzhou, Peoples R China

[2] Medtronic PLC, CRHF Div, Mounds View, MN USA

[3] Virginia Commonwealth Univ Hlth Syst, Dept Cardiol, Richmond, VA USA

来源：

CANADIAN JOURNAL OF CARDIOLOGY | 2017年 / 33卷 / 12期

关键词：

D O I：

10.1016/j.cjca.2017.09.013

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

This report demonstrates the feasibility of pacing the left bundle branch (LBB) immediately beyond the conduction block to functionally restore the impaired His-Purkinje conduction system in a patient with heart failure and left bundle branch block (LBBB). The pacing required only a low pacing output (0.5 volts/0.5 ms) to correct the LBBB with accompanying right BBB on the electrocardiogram. Over 1-year of follow-up, the patient had a significant improvement in clinical outcome and echocardiographic measurements. The case shows a novel pacing strategy for patients with BBB that affects many patients with heart failure.

引用

页码：1736.e1 / 1736.e3

页数：3

共 4 条

[1] Permanent His-bundle pacing for cardiac resynchronization therapy: Initial feasibility study in lieu of left ventricular lead
Ajijola, Olujimi A.
Upadhyay, Gaurav A.
Macias, Carlos
Shivkumar, Kalyanam
Tung, Roderick
[J]. HEART RHYTHM, 2017, 14 (09) : 1353 - 1361
[2] Benefits of Permanent His Bundle Pacing Combined With Atrioventricular Node Ablation in Atrial Fibrillation Patients With Heart Failure With Both Preserved and Reduced Left Ventricular Ejection Fraction
Huang, Weijian
Su, Lan
Wu, Shengjie
Xu, Lei
Xiao, Fangyi
Zhou, Xiaohong
Ellenbogen, Kenneth A.
[J]. JOURNAL OF THE AMERICAN HEART ASSOCIATION, 2017, 6 (04):
[3] His-bundle pacing versus biventricular pacing in cardiac resynchronization therapy patients: A crossover design comparison
Lustgarten, Daniel L.
Crespo, Eric M.
Arkhipova-Jenkins, Irina
Lobel, Robert
Winget, Joseph
Koehler, Jodi
Liberman, Evan
Sheldon, Todd
[J]. HEART RHYTHM, 2015, 12 (07) : 1548 - 1557
[4] Pacing and sensing optimization of permanent His-bundle pacing in cardiac resynchronization therapy/implantable cardioverter defibrillators patients: value of integrated bipolar configuration
Su, Lan
Xu, Lei
Wu, Sheng-jie
Huang, Wei-jian
[J]. EUROPACE, 2016, 18 (09): : 1399 - 1405

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